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ATLS Review Questions with complete solutions 2024/2025( A+ GRADED 100% VERIFIED).
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ATLS Review Questions with complete solutions 2024/2025( A+ GRADED 100% VERIFIED).
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ATLS ReviewWhich patients should you consider transferring, and what tests should be performed prior to
transfer?
Patients who injuries exceed your ability to care for them, either d/t specialized needs, or
resource availability, only perform testing that enables the referring physician to resuscitate,
stabilize and ensure the safe transfer of the patient
T or F: Pulse ox measures the partial pressure of oxygen to carbon dioxide
F
Pulse ox does not measure the partial pressure of oxygen, only saturation. It can be confused
by carboxyhemoglobin, so this adjunct should be used w/ caution in pts w/ inhalation injuries.
Pulse ox also does not measure co2
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You intubate the patient, reduce the femur fracture and immobilize it, and immobilize the
patient's pelvis with a binder. He has received 1 liter of warmed crystalloid and 1 unit of
uncrossmatched blood intravenously.
The patient's vital signs improve to: HR 97, BP 110/64, RR 24, oxygen saturation
96%. He starts to respond to verbal stimuli, opens his eyes to voice, and tries to brush away the
examiner's hands.
Answer question below based on this case scenario
-What additional adjuncts and treatments would you order at this time?
-When should the transfer occur, and what tests are necessary before transferring the pt?
, -Additional adjuncts should include: CXR, pelvic XR, and FAST. Also obtain ABG levels and
insert gastric tube. Order additional bloodwork, as appropriate
-Transfer should occur as soon as possible after you determine that the patient's needs exceed
the capabilities of your facility and after the patient has been resuscitated and stabilized. Only
perform tests that directly affect your care of the patient (e.g., do not delay transfer to perform a
head CT head if a neurosurgeon is not available).
Why is info about the MOI so important?
The patient's condition is greatly influenced by the mechanism of injury. Knowledge of the
mechanism of injury can enhance understanding of the patient's physiologic state and provide
clues to anticipated injuries. Some injuries can be predicted based on the direction and amount
of energy associated with the mechanism of injury.
What specialized diagnostic test may be performed during the secondary survey to identify
specific injuries?
Adjuncts to the secondary survey include additional x-ray examinations of the spine and
extremities;
CT scans of the head, chest, abdomen, and spine; contrast urography and angiography;
transesophageal ultrasound; bronchoscopy; and esophagoscopy.
The secondary survey does not begin until?.. (3)
- primary survey (ABCDE) is completed
-resuscitative efforts are underway
-improvement of the pts vital functions have been demonstarted
Secondary survey assessment uses what acronym for hx?
Allergies
Medications currently used
Past illnesses/Pregnancy
Last meal
Events/Environmental r/t the injury
Pt's condition is greatly influenced by the MOI. W/ understanding of the MOI it can influence
your knowledge by..
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